Should Respiratory Care get its own mid-level provider credential? - page 2

by incrediblehulk2016

6,992 Views | 51 Comments

I know this is primarily a nursing forum, but Respiratory and RRT/RN dual title holders are also very prominent in this forum, but me being an RRT/and current PA student, I have an interest in this particular question: Every... Read More


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    There is no requirement that I know of yet, but there is definetly a strong movement for that. By 2015 it's reccomended that NP programs make the transition to the DNP, but we'll see. I think it's too much too soon?
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    Quote from Altra

    Perfusionists are different from respiratory therapists - different curriculum.

    Could you share which state has legislated that only doctorally-prepared NPs will be licensed after a certain date?
    Where I work, respiratory therapists are a part of the ECMO team, which requires the perfusionist program...saw them on my PICU during my orientation yesterday. The nurses and RTs run the machine, titrate, etc, etc..

    A lot of my area local hospitals require perfusionists to have a background in RRT, as well as the formal study.

    I also was looking into a perfusion program, and I cannot find the link I saw that required master's level completion, so I will stand corrected on the master's level information. I did looking into perfusionist programs in my area, and the requirement is a Bachelors.

    Drexel university provides two distinct perfusion/CV programs, in their health professions, and one is included in the Radiology program-this is in response to the comment on the Radiology comment from the OP...tried to find more info, but difficult on my phone:http://www.drexel.edu/catalog/archiv...10_CNHP_UG.pdf see pg 29. There are Rad Techs that can obtain BA degrees, nothing of Masters in my neck of the woods...not sure if that particular "go between" you were discussing...

    Hope that provides clarity to my original response.

    As for the DNP, There is no legislation on the table. My response was targeted in how programs in my area-I live in PA-have been gearing up programs where they are tailoring NPs to get a doctorate. One of the local colleges in Philly has already discontinued several NP programs and plan to restructure to a doctorate program; a colleague is in a program they discontinued admissions; she is in her last year. Here is a link to one that started tailoring DNP primary care practice:

    http://chpsw.temple.edu/nursing/acad...duate-programs

    They provide Geriatric and Family Practice.

    Another Program at Drexel University:
    http://www.drexel.edu/gradnursing/dr...rsingPractice/

    Penn State University
    http://www.nursing.psu.edu/graduate/bs-phd

    Tailors the program to MSN first (has the NP curriculum in place) then to proceed into the PhD program.


    More info: http://www.nursingworld.org/MainMenu...28_416028.html

    http://nurse-practitioners-and-physi...P-by-2015.aspx

    http://www.aacn.nche.edu/publication...Essentials.pdf


    By the time I plan to be a NP as part of my semi retirement plan, there are options in my area; however, who knows if it will be a requirement then.
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    CRNA's do not practice independently in every states. Most states still require Physician direction. However in 16 states, they do practice independently, and other states could opt out of this requirement of MD supervision. A.A's do not that, they MUST practice under an MD's direction. However,

    The AA profession is the newest kid on the block, but more than likely, additional states will allow AA to practice within them.

    Is the CRNA the cousin of the A.A sure is? I said cousin not identical twin!
    There is some overlap however, there are vast differences of course

    1. AAs and CRNAs make the same money when they work in the same hospital in ACT practices.
    2. Scope of practice for CRNAs and AAs is different. CRNAs can and do work independently in some states, 16 to date. CRNAs are the oldest nursing speciality in the US. CRNAs can provide the exact same anesthetic services/care that an anesthesiologist does. AAs on the other hand have extremely limited scope of practice. AAs usually are not trained/cannot do any kind of regional techniques.

    Personally on this subject, I think it's dangerous for a CRNA to be able to practice independently of MD's because CRNA Does not= Anesthesiologist
  4. 1
    "What would these proposed new titles for RTs mean? What would RTs be able to do that would be different from what they do now?" Good Question:


    This is also speculation and proposed idea, but there is a movement upon the NBRC and AARC with the RT profession that started my bridge into PA school and that im ever so thankful for. RT will make a strong push to go BSRT and try to develop Advanced Practice RT's of the future. There are definetly changes coming to the profession for the better within the next 10-15 years.

    What will these new titles mean exactly? As such, the respiratory therapist of the future will focus more on patient assessment, care plan development, protocol administration, disease management and rehabilitation, and patient and family education, and most importantly prescribing medications, and not just a task-oriented technical field, focused on procedures and the technical aspects of oxygen and aerosol therapy, mechanical ventilatory support, and related diagnostic and monitoring techniques.

    The goal will be the same as every mid-level provider, there's shortages all over the place in healthcare/ medicine, especially with an aging population, many of which suffer from respiratory complications and it's just another method to alleviate them.

    Is it going to happen tommorrow? No, it's going to be some time.......before it does happen, but the main question im asking is:

    Do you think it would be beneficial to healthcare for the future to bridge physican shortage gaps in general to have Advanced Practice RT's/ Cardiopulmonary PA's and Critical Care Specialists?
    RT_Skyler likes this.
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    There are also Radiologist Assistants for Rad Techs and Radiation Therapists with B.S degrees to pursue advanced practice
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    I think that YES we should! However, it should be Advanced RT not entry level, in my opinion.
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    Quote from incrediblehulk2016
    "What would these proposed new titles for RTs mean? What would RTs be able to do that would be different from what they do now?" Good Question:

    This is also speculation and proposed idea, but there is a movement upon the NBRC and AARC with the RT profession that started my bridge into PA school and that im ever so thankful for. RT will make a strong push to go BSRT and try to develop Advanced Practice RT's of the future. There are definetly changes coming to the profession for the better within the next 10-15 years.

    What will these new titles mean exactly? As such, the respiratory therapist of the future will focus more on patient assessment, care plan development, protocol administration, disease management and rehabilitation, and patient and family education,
    ^Pt assessment, care plan development, protocol administration, etc., go under the umbrella of Nursing/the Registered Nurse.


    [/QUOTE]and most importantly prescribing medications, and not just a task-oriented technical field, focused on procedures and the technical aspects of oxygen and aerosol therapy, mechanical ventilatory support...[/QUOTE]

    ^ the role of the RT was to support bedside nursing care related to pts who have complex respiratory courses. The "skilled hours" did not balance with the pt loads and nursing scope (teaching, assessment, care plan, etc). In most states, NPs can prescribe meds.



    [/QUOTE]Do you think it would be beneficial to healthcare for the future to bridge physican shortage gaps in general to have Advanced Practice RT's/ Cardiopulmonary PA's and Critical Care Specialists?[/QUOTE]

    Critical Care Specialists have APN credentialing. If there is a need for Pulmonogists , I think that RT's have a seat at the table perhaps; but IMO, the mid-level practitioner place is already here. The scopes and roles are in place...you said you were in PA school, so you have bridged into that area, quite well. I know a couple of RTs who wanted to expand their scope and went on to he excellent nurses, perfusionists, one a CC APN. It depends on the path you choose.

    I'm not sure what else would you want to occur, besides the Bachelors aspect of RT...more aspects to bridge over to advance mid-level practitioner ? To me, it is already in place; should it be more of an opportunity, aka "the norm"??

    I can understand that aspect; that can happen, absolutely.
    tewdles likes this.
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    Quote from incrediblehulk2016
    Personally on this subject, I think it's dangerous for a CRNA to be able to practice independently of MD's because CRNA Does not= Anesthesiologist
    *** Wow, you just keep saying one highly controversial thing after another, some of them false. I started off thinking you were a troll just seeking to start fights. Of course you are entitled to your opinion but it happens t be factualy wrong, but that's OK.

    Every profession in allied health has been trying to do everything humanly possible to try and advanced their professions (Except Radiology it seems), PT now requires a doctorate to practice,
    *** In what way has degree inflation "advanced" those professions? What can the doctoraly prepared PTs do that the master prepared could not do? How much more are doctorat prepared PTs paid vs masters prepared PTs? Please explain how those professions who have required a doctorate have advanced.

    PA's will soon follow the NP's whom are also going to require the doctorate to practice at an advance level and for RN's,
    *** A falsehood.

    the entry level degree will now be the BSN.
    *** A falsehood.

    What do you think of the prospect of giving RRT's its own mid level provider similar to the NP or PA?
    *** I don't see a need.

    I do think a time will come when my field of PA's and my mid level counterparts in NP's will have a doctorate level entry degree.
    *** PA seems to me like a profession that has truely lost it's way from where it started and why it was created. What would be the point to a doctorate PA program? Why would anyone do a doctorate PA rather than simply go to medical school? PAs don't make very much money to require a doctorate. I mean really, get a doctorate to make $80K a year? Some of the best PAs I have worked with had associates degrees. If I was interested in PA school I would first look to the associates degree programs.

    There are COUNTRIES which require a baccalaureate degree in order to practice nursing they are: Canada, Sweden, Portugal, Brazil, Iceland, Korea, Greece, and Philippines.
    *** And many of the countries who require a BSN have a 3 year BSN that closely matched the associates degree nursing programs in the USA. IMO we should simply declare most of the associats degree programs as bachelors degree programs.

    The AA profession is the newest kid on the block, but more than likely, additional states will allow AA to practice within them.
    *** I doubt it. The AANA is pretty powerful.

    RT will make a strong push to go BSRT
    *** It will be shame if they do. RTs don't make much money now. Greatly increasing the cost of training might be a death knell for RTs. I mean after all why would anyone spend the money and years getting BSRT when they could spend the same time and money getting a qualification that pays much better? I think RTs are paid OK for people who went through a 2 year community college program.
    hiddencatRN, elkpark, and Altra like this.
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    Quote from roser13
    Both of those rumors have been around for years, particularly the RN BSN rumor. Don't see either of those taking place anytime soon.
    I live in Dallas, TX and several hospitals have gone to/are going to BSN only for new grad applicants and for experienced RN positions it states BSN preferred.
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    Quote from nurserobyn89
    I live in Dallas, TX and several hospitals have gone to/are going to BSN only for new grad applicants and for experienced RN positions it states BSN preferred.
    *** Lots of hospitals prefer or require BSNs. That however has absolutly nothing to do with state boards of nursing requiring a BSN for a license.
    hiddencatRN, elkpark, KelRN215, and 4 others like this.


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